Organization
NEW PHARMACY AND STORE CORP
Active
Other names
NEW PHARMACY AND STORE CORP
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS MARINA (PRESIDENT)
(786) 703-6580
Entity
Organization
Contact information
Practice address
1204 E 4TH AVE, HIALEAH, FL 33010-3502
(786) 703-6580
(786) 703-6581
Mailing address
1204 E 4TH AVE, HIALEAH, FL 33010-3502
(786) 703-6580
(786) 703-6581
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH27566
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144464
PK
—
Enumeration date
03/07/2014
Last updated
03/07/2014
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